EDWARD BRENNER (NPI# 1992807465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992807465 |
| Entity Type | Individual |
| Full Name | EDWARD BRENNER |
| Credential | PSY.D. |
| Practice Address |
175 Jericho Tpke Suite 215 Syosset NY 11791-4532 |
| Practice Telephone | 5166770235 |
| Mailing Telephone | 5166770235 |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
009667 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427138056 | Edward H. Brenner | Ophthalmology | 500 W Main St, Freehold, NJ 07728-2500 | 2006-10-17 |
| Street Address |
175 JERICHO TPKE SUITE 215 |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472130 | Howard Heimowitz | Radiology | 175 Jericho Tpke, Suite 120, Syosset, NY 11791-4532 | 2005-07-27 |
| 1497247530 | 50 Oceana Pharmacy Corp. | Durable Medical Equipment & Medical Supplies | 175 Jericho Tpke, West Lobby Suite, Syosset, NY 11791-4532 | 2018-06-05 |
| 1467823443 | Medical Office of Fawzy Wasfy Salama Pllc | Psychiatry & Neurology | 175 Jericho Tpke, Suite 411, Syosset, NY 11791-4532 | 2015-10-15 |
| 1164806758 | Dr Greg Davies & Dr Sharone Stern | Podiatrist | 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 | 2015-07-14 |
| 1619367844 | Rehabilitation Associate of Li Physical Medicine Pllc | Physical Medicine & Rehabilitation | 175 Jericho Tpke, Syosset, NY 11791-4532 | 2015-01-26 |
| 1265821953 | Positive Change Psychiatry Pllc | Psychiatry & Neurology | 175 Jericho Tpke, Suite 301, Syosset, NY 11791-4532 | 2015-01-18 |
| 1710393459 | Nicole R Esposito | Speech-Language Pathologist | 175 Jericho Tpke, Suite 103, Syosset, NY 11791-4546 | 2014-07-02 |
| 1194135483 | Diabetes and Endocrine Care of Long Island Pllc | Internal Medicine | 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 | 2014-05-07 |
| 1679918957 | Elliott Jay Dombroff | Dentist | 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 | 2013-05-01 |
| 1588008346 | Celestino Marques Dossantos | Dentist | 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 | 2013-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083046056 | Scott Jeremy Tessler | Psychologist | 5 Samuel Ct, Syosset, NY 11791-3812 | 2013-08-01 |
| 1710294723 | Stefanie Beth Kaley | Psychologist | 18 Parkway Dr, Syosset, NY 11791-6616 | 2010-09-13 |
| 1255512703 | Anu Raj | Psychologist | 175 Jericho Tpke Ste 213, Syosset, NY 11791-4501 | 2007-11-26 |
| 1043378425 | Marvin Eisenstadt | Psychologist | 352 S Oyster Bay Road, Syosset, NY 11791-6913 | 2006-12-05 |
| 1881769206 | Danial Kessler | Psychologist | 27 Harriet Dr, Syosset, NY 11791-5106 | 2006-11-21 |
| 1982793071 | Kyla Josie Blattberg | Psychologist | 36 Holly Dr, Syosset, NY 11791-5720 | 2006-10-12 |
| 1831299585 | Lisa E Bomse | Psychologist | 9 Pine Rd, Syosset, NY 11791-4217 | 2006-09-23 |
| 1215293709 | Dr. Fred Krellenstein, Psychologist, P.C. | Psychologist | 8 Holly Dr, Syosset, NY 11791-5718 | 2012-04-09 |
| 1043589575 | Pamela B Wasserman | Psychologist | 115 Eileen Way, Syosset, NY 11791-5325 | 2011-12-29 |
| 1861760357 | George William Basso Jr. | Psychologist | 157 Robbins Ln, Syosset, NY 11791-6003 | 2011-12-12 |
| Find all providers in SYOSSET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.